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1.
Adv Mater ; : e2305916, 2024 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-39004883

RESUMO

A topological magnetic material showcases a multitude of intriguing properties resulting from the compelling interplay between topology and magnetism. These include notable phenomena such as a large anomalous Nernst effect (ANE), an anomalous Hall effect (AHE), and a topological Hall effect (THE). In most cases, topological transport phenomena are prevalent at temperatures considerably lower than room temperature, presenting a challenge for practical applications. However, the noncollinear ferromagnetic (FM) LaMn2Ge2, characterized by a Mn square-net lattice and a notably high Curie temperature (TC) of approximately 325 K, defies this trend as a topological semimetal. This work observes a giant topological Hall resistivity, ρ y x T $\rho _{yx}^T$ , of ≈4.5 µΩ cm at room temperature when the angle between the applied field and the c-axis is 75°, which is significantly higher than state-of-the-art materials with noncoplanar spin structures. The single crystal neutron diffraction measurements agree with an incommensurate conical magnetic structure as the ground state. This observation suggests the enhanced spin chirality resulting from the noncoplanar spin configuration when the applied field is away from the magnetic easy axis as the origin of a large contribution to the observed THE. The findings unequivocally demonstrate that the FM LaMn2Ge2 holds great promise as a potential topological semimetal for spintronic applications even at room temperature.

2.
Inorg Chem ; 63(28): 12910-12919, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38940638

RESUMO

Binary metal hydrides can act as low-temperature reducing agents for complex oxides in the solid state, facilitating the synthesis of anion-deficient oxide or oxyhydride phases. The reaction of LaSrCoRuO6, with CaH2 in a sealed tube yields the face-centered cubic phase LaSrCoRuO3.2H1.9. The reaction with LiH under similar conditions converts LaSrCoRuO6 to a mixture of tetragonal LaSrCoRuO4.8H1.2 and cubic LaSrCoRuO3.3H2.13. The formation of the LaSrCoRuOxHy oxyhydride phases proceeds directly from the parent oxide, with no evidence for anion-deficient LaSrCoRuO6-x intermediates, in contrast with many other topochemically synthesized transition-metal oxyhydrides. However, the reaction between LaSrCoRuO6 and LiH under flowing argon yields a mixture of LaSrCoRuO5 and the infinite layer phase LaSrCoRuO4. The change to all-oxide products when reactions are performed under flowing argon is attributed to the lower hydrogen partial pressure under these conditions. The implications for the reaction mechanism of these topochemical transformations is discussed along with the role of the hydrogen partial pressure in oxyhydride synthesis. Magnetization measurements indicate the LaSrCoRuOxHy phases exhibit local moments on Co and Ru centers, which are coupled antiferromagnetically. In contrast, LaSrCoRuO4 exhibits ferromagnetic behavior with a Curie temperature above 350 K, which can be rationalized on the basis of superexchange coupling between the Co1+ and Ru2+ centers.

3.
Angew Chem Int Ed Engl ; 63(6): e202313067, 2024 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-38085493

RESUMO

Complex transition-metal oxides exhibit a wide variety of chemical and physical properties which are a strong function the local electronic states of the transition-metal centres, as determined by a combination of metal oxidation state and local coordination environment. Topochemical reduction of the double perovskite oxide, LaSrCoRuO6 , using Zr, yields LaSrCoRuO5 . This reduced phase contains an ordered array of apex-linked square-based pyramidal Ru3+ O5 , square-planar Co1+ O4 and octahedral Co3+ O6 units, consistent with the coordination-geometry driven disproportionation of Co2+ . Coordination-geometry driven disproportionation of d7 transition-metal cations (e.g. Rh2+ , Pd3+ , Pt3+ ) is common in complex oxides containing 4d and 5d metals. However, the weak ligand field experienced by a 3d transition-metal such as cobalt leads to the expectation that d7+ Co2+ should be stable to disproportionation in oxide environments, so the presence of Co1+ O4 and Co3+ O6 units in LaSrCoRuO5 is surprising. Low-temperature measurements indicate LaSrCoRuO5 adopts a ferromagnetically ordered state below 120 K due to couplings between S=1 /2 Ru3+ and S=1 Co1+ .

4.
Chem Mater ; 35(18): 7839-7846, 2023 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-37780409

RESUMO

Reaction between the pseudo-Ruddlesden-Popper phase Li2CaTa2O7 and MnCl2 at 375 °C yields MnCaTa2O7, a paramagnetic polar phase (space group P21nm), which adopts an a-b-c+/b-a-c+ distorted, layered perovskite structure. Magnetization and neutron diffraction data show that MnCaTa2O7 adopts an antiferromagnetically ordered state below TN = 56 K and exhibits large lattice parameter anomalies and a transient increase in its polar distortion mode at TA = 50 K. However, in contrast to the related phase MnSrTa2O7, MnCaTa2O7 shows no strong signature of weak ferromagnetism and thus shows no signs of magnetoelectric coupling. The differences in physical behavior between the two MnATa2O7 phases appear to be related to their differing Mn cation-order and differing TaO6 tilting schemes and demonstrate that even subtle changes to these orderings can have large effects on the distortion-mode couplings, which drive complex behavior of this class of "hybrid improper" ferroelectric material.

5.
Int J Biometeorol ; 67(10): 1607-1617, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37526762

RESUMO

Plants have always been able to adapt to climate change by reacting through various responses, mainly at the phenological level. The aim of this work is to investigate the behavior of specific tree species located in two phenological gardens in central Italy in relation to the temperature increases recorded in recent years. Specifically, four main phenological phases, BBCH_11, BBCH_19, BBCH_91, and BBCH_65, were monitored during a 14-year time period. The data of the weeks corresponding to the first appearance of each phenological phase and the respective heat accumulations for each species were cross-referenced with the meteorological data recorded by the stations in the two considered areas. Based on average temperature, calculated over reference periods, the species were divided by creating "warm" year groups and "cold" year groups so as to better highlight any differences in the behavior of the same species. In addition, a strong correlation was shown between the maximum temperatures in February and the advances of phenological phases BBCH_11 and BBCH_65. Most of the tree species have shown strong adaptation to climate warming, changing the period of occurrence of the phases themselves.


Assuntos
Jardins , Árvores , Temperatura , Estações do Ano , Itália , Mudança Climática
6.
Phys Rev Lett ; 129(21): 217601, 2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36461960

RESUMO

According to previous theoretical work, the binary oxide CuO can become a room-temperature multiferroic via tuning of the superexchange interactions by application of pressure. Thus far, however, there has been no experimental evidence for the predicted room-temperature multiferroicity. Here, we show by neutron diffraction that the multiferroic phase in CuO reaches 295 K with the application of 18.5 GPa pressure. We also develop a spin Hamiltonian based on density functional theory and employing superexchange theory for the magnetic interactions, which can reproduce the experimental results. The present Letter provides a stimulus to develop room-temperature multiferroic materials by alternative methods based on existing low temperature compounds, such as epitaxial strain, for tunable multifunctional devices and memory applications.

7.
Phys Rev Lett ; 129(24): 247201, 2022 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-36563278

RESUMO

We study near-neighbor and dipolar Ising models on a lattice of corner-sharing octahedra. In an extended parameter range of both models, frustration between antiferromagnetism and a spin-ice-like three-in-three-out rule stabilizes a Coulomb phase with correlated dipolar and quadrupolar spin textures, both yielding distinctive neutron-scattering signatures. Strong further-neighbor perturbations cause the two components to order independently, resulting in unusual multi-k orders. We propose experimental realizations of our model in rare-earth antiperovskites.

8.
Nat Commun ; 13(1): 7968, 2022 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-36575166

RESUMO

Multiferroics, showing the coexistence of two or more ferroic orderings at room temperature, could harness a revolution in multifunctional devices. However, most of the multiferroic compounds known to date are not magnetically and electrically ordered at ambient conditions, so the discovery of new materials is pivotal to allow the development of the field. In this work, we show that BaFe2O4 is a previously unrecognized room temperature multiferroic. X-ray and neutron diffraction allowed to reveal the polar crystal structure of the compound as well as its antiferromagnetic behavior, confirmed by bulk magnetometry characterizations. Piezo force microscopy and electrical measurements show the polarization to be switchable by the application of an external field, while symmetry analysis and calculations based on density functional theory reveal the improper nature of the ferroelectric component. Considering the present findings, we propose BaFe2O4 as a Bi- and Pb-free model for the search of new advanced multiferroic materials.

9.
Environ Monit Assess ; 195(1): 118, 2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36396879

RESUMO

The objective of this work was to investigate the potential ecosystem services of 16 fruit trees to plan and manage more efficiently "Urban Forest," increasing also the resilience of cities to climate change. We evaluated the potential capacity of PM10 absorption, the storage of CO2 from the atmosphere, and the cooling of the environment through shading by the crown and through evapotranspiration. We observed that some species, such as Morus nigra, Juglans regia, Pyrus communis, and Cydonia oblonga, are able to store a higher quantity of CO2 than others over a period of 50 years, respectively, of 2.40 tons, 2.33 tons, 1.51 tons, and 0.96 tons. Ficus carica, Juglans regia, and Morus nigra were relevant for PM10 absorption, since they were able to absorb, referring to the year 2019, 146.4 gr/tree, 195.6 gr/tree, and 143.1 gr/tree, respectively. Results showed that these ecosystem functions depend principally on the morphological characteristics of the individuals: their height, DBH, expansion of their crowns, and characteristics of the foliage system.


Assuntos
Ecossistema , Frutas , Dióxido de Carbono , Monitoramento Ambiental , Árvores
10.
Inorg Chem ; 60(20): 15124-15127, 2021 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-34606249

RESUMO

The magnetic structure of NaYMnWO6 was determined by neutron powder diffraction measurements. Below 9 K, the magnetic structure is a helix to wave vector k = (0, 0.447, 1/2), in contrast with NaYNiWO6, which shows a transverse spin density wave with k = (0.47, 0, 0.49). By analyzing the differences in the spin exchanges of NaYMnWO6 and NaYNiWO6, and in the magnetic anisotropies of the Mn2+ (d5, S = 5/2) and the Ni2+ (d2, S = 1) ions, we show what factors govern the propagation direction of a noncollinear magnetic structure and whether it becomes a helix or a cycloid.

11.
Nat Commun ; 12(1): 4945, 2021 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-34400623

RESUMO

Preparing materials which simultaneously exhibit spontaneous magnetic and electrical polarisations is challenging as the electronic features which are typically used to stabilise each of these two polarisations in materials are contradictory. Here we show that by performing low-temperature cation-exchange reactions on a hybrid improper ferroelectric material, Li2SrTa2O7, which adopts a polar structure due to a cooperative tilting of its constituent TaO6 octahedra rather than an electronically driven atom displacement, a paramagnetic polar phase, MnSrTa2O7, can be prepared. On cooling below 43 K the Mn2+ centres in MnSrTa2O7 adopt a canted antiferromagnetic state, with a small spontaneous magnetic moment. On further cooling to 38 K there is a further transition in which the size of the ferromagnetic moment increases coincident with a decrease in magnitude of the polar distortion, consistent with a coupling between the two polarisations.

12.
J Am Chem Soc ; 143(8): 3205-3218, 2021 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-33596070

RESUMO

Understanding structural responses of metal-organic frameworks (MOFs) to external stimuli such as the inclusion of guest molecules and temperature/pressure has gained increasing attention in many applications, for example, manipulation and manifesto smart materials for gas storage, energy storage, controlled drug delivery, tunable mechanical properties, and molecular sensing, to name but a few. Herein, neutron and synchrotron diffractions along with Rietveld refinement and density functional theory calculations have been used to elucidate the responsive adsorption behaviors of defect-rich Zr-based MOFs upon the progressive incorporation of ammonia (NH3) and variable temperature. UiO-67 and UiO-bpydc containing biphenyl dicarboxylate and bipyridine dicarboxylate linkers, respectively, were selected, and the results establish the paramount influence of the functional linkers on their NH3 affinity, which leads to stimulus-tailoring properties such as gate-controlled porosity by dynamic linker flipping, disorder, and structural rigidity. Despite their structural similarities, we show for the first time the dramatic alteration of NH3 adsorption profiles when the phenyl groups are replaced by the bipyridine in the organic linker. These molecular controls stem from controlling the degree of H-bonding networks/distortions between the bipyridine scaffold and the adsorbed NH3 without significant change in pore volume and unit cell parameters. Temperature-dependent neutron diffraction also reveals the NH3-induced rotational motions of the organic linkers. We also demonstrate that the degree of structural flexibility of the functional linkers can critically be affected by the type and quantity of the small guest molecules. This strikes a delicate control in material properties at the molecular level.

13.
Neurol Sci ; 42(9): 3865-3870, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33527209

RESUMO

BACKGROUND AND PURPOSE: Ketogenic diet (KD) is based on restriction of carbohydrate intake. Metabolism is forced to obtain energy starting from ß-oxidation of fatty acids which, turned into ketone bodies, can also be used by central nervous system (CNS). KD use in treatment of chronic migraine has recently been considered. We set out to verify modification of symptoms in patients with refractory chronic migraine in response to KD. METHODS: Fifty patients were enrolled of which 38 completed the procedures the study and 23 were considered in the statistics. All of the patients considered in our study were affected by medication overuse headache (MOH). They were on a KD for 3 months. The following parameters have been checked at t = 0 and every 30 days for 6 months: migraine episode length (n. hours/day), frequency (n. days/month), level of pain of every episode measured on a scale from 1 to 3 (1 = mild; 2 = moderate; 3 = severe), and n. analgesic drugs taken/month. RESULTS: Days with symptoms decreased from 30 (median value) to 7.5 with p < 0.0001. The duration of the migraine episodes decreased from 24 h (median value) to 5.5 h with p < 0.0016. The patients' pain level, initially at maximum value for 83% of the participants, improved for 55% of them (p < 0.0024). The number of drugs taken in a month decreased from 30 doses (median value) to 6 doses. CONCLUSIONS: It can be stated that a 3-month KD resulted in a reduction of painful symptoms of drug refractory chronic migraine. This result may suggest an improvement in quality of life of the patients, even without a tabulated data collection.


Assuntos
Dieta Cetogênica , Transtornos da Cefaleia Secundários , Transtornos de Enxaqueca , Analgésicos , Humanos , Transtornos de Enxaqueca/tratamento farmacológico , Qualidade de Vida , Resultado do Tratamento
14.
Inorg Chem ; 60(4): 2195-2202, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33492967

RESUMO

We have investigated magneto-structural phase transitions in polycrystalline YVO3 using high-resolution neutron powder diffraction toward understanding the phenomenon of magnetization reversal. Contrary to earlier reports, our study reveals that both C-type and G-type antiferromagnetic ordering, corresponding to G-type and C-type orbital ordered phases, respectively, occur at the same temperature (TN = 115 K) with the G-type antiferromagnetic phase growing at the expense of the C-type one on cooling. These processes cease at TS ∼ 77 K; however, a minor (∼4%) untransformed C-type phase remains unchanged down to 1.7 K. The symmetry analysis indicates different symmetry origins of the Dzyaloshinskii-Moriya interaction in each phase, which can explain the magnetization reversal observed between TN and TS. We discuss that magnetic phase separation and associated weak ferromagnetism may be the common mechanism underlying the magnetization reversal phenomenon observed in other RVO3 systems (R = rare earth).

15.
Thyroid ; 31(2): 264-271, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32475305

RESUMO

Background: One of the most widely used risk stratification systems for estimating individual patients' risk of persistent or recurrent differentiated thyroid cancer (DTC) is the American Thyroid Association (ATA) guidelines. The 2015 ATA version, which has increased the number of patients considered at low or intermediate risk, has been validated in several retrospective, single-center studies. The aims of this study were to evaluate the real-world performance of the 2015 ATA risk stratification system in predicting the response to treatment 12 months after the initial treatment and to determine the extent to which this performance is affected by the treatment center in which it is used. Methods: A prospective cohort of DTC patients collected by the Italian Thyroid Cancer Observatory web-based database was analyzed. We reviewed all records present in the database and selected consecutive cases that satisfied inclusion criteria: (i) histological diagnosis of DTC, with the exclusion of noninvasive follicular thyroid neoplasm with papillary-like nuclear features; (ii) complete data of the initial treatment and pathological features; and (iii) results of 1-year follow-up visit (6-18 months after the initial treatment), including all data needed to classify the estimated response to treatment. Results: The final cohort was composed of 2071 patients from 40 centers. The ATA risk of persistent/recurrent disease was classified as low in 1109 patients (53.6%), intermediate in 796 (38.4%), and high in 166 (8.0%). Structural incomplete responses were documented in only 86 (4.2%) patients: 1.5% in the low-risk, 5.7% in the intermediate-risk, and 14.5% in the high-risk group. The baseline ATA risk class proved to be a significant predictor of structural persistent disease, both for intermediate-risk (odds ratio [OR] 4.67; 95% confidence interval [CI] 2.59-8.43) and high-risk groups (OR 16.48; CI 7.87-34.5). Individual center did not significantly influence the prediction of the 1-year disease status. Conclusions: The ATA risk stratification system is a reliable predictor of short-term outcomes in patients with DTC in real-world clinical settings characterized by center heterogeneity in terms of size, location, level of care, local management strategies, and resource availability.


Assuntos
Diferenciação Celular , Técnicas de Apoio para a Decisão , Radioisótopos do Iodo/uso terapêutico , Excisão de Linfonodo , Compostos Radiofarmacêuticos/uso terapêutico , Neoplasias da Glândula Tireoide/terapia , Tireoidectomia , Adulto , Bases de Dados Factuais , Feminino , Humanos , Radioisótopos do Iodo/efeitos adversos , Itália , Excisão de Linfonodo/efeitos adversos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Valor Preditivo dos Testes , Estudos Prospectivos , Compostos Radiofarmacêuticos/efeitos adversos , Medição de Risco , Fatores de Risco , Neoplasias da Glândula Tireoide/diagnóstico por imagem , Neoplasias da Glândula Tireoide/patologia , Tireoidectomia/efeitos adversos , Fatores de Tempo , Resultado do Tratamento
16.
Inorg Chem ; 59(24): 17856-17859, 2020 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-33285061

RESUMO

The incommensurate magnetic structure (0.47, 0, 0.49) of NaYNiWO6 exhibits unconventional spin-density waves (SDWs) along the [100] direction, in which up and down spins alternate in each half-wave. This is in contrast to conventional SDWs, in which only one type of spin is present in each half-wave. We probed the formation of these unconventional SDWs by evaluating the spin exchanges of NaYNiWO6 based on density functional theory calculations and analyzing the nature of the spin frustration in NaYNiWO6 and by noting that a SDW is a superposition of two cycloids of opposite chirality. The unconventional SDWs along the [100] direction originate from the spin-frustrated antiferromagnetic chains of Ni2+ ions along that direction, leading to conventional SDWs along the [101] direction and unconventional SDWs along the [001] direction.

17.
Inorg Chem ; 59(21): 15898-15912, 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33058683

RESUMO

Sr2CrO2Cr2As2 and Ba2CrO2Cr2As2 with Cr2+ ions in CrO2 sheets and in CrAs layers crystallize with the Sr2Mn3Sb2O2 structure (space group I4/mmm, Z = 2) and lattice parameters a = 4.00800(2) Å, c = 18.8214(1) Å (Sr2CrO2Cr2As2) and a = 4.05506(2) Å, c = 20.5637(1) Å (Ba2CrO2Cr2As2) at room temperature. Powder neutron diffraction reveals checkerboard-type antiferromagnetic ordering of the Cr2+ ions in the arsenide layers below TN1_Sr, of 600(10) K (Sr2CrO2Cr2As2) and TN1_Ba 465(5) K (Ba2CrO2Cr2As2) with the moments initially directed perpendicular to the layers in both compounds. Checkerboard-type antiferromagnetic ordering of the Cr2+ ions in the oxide layer below 230(5) K for Ba2CrO2Cr2As2 occurs with these moments also perpendicular to the layers, consistent with the orientation preferences of d4 moments in the two layers. In contrast, below 330(5) K in Sr2CrO2Cr2As2, the oxide layer Cr2+ moments are initially oriented in the CrO2 plane; but on further cooling, these moments rotate to become perpendicular to the CrO2 planes, while the moments in the arsenide layers rotate by 90° with the moments on the two sublattices remaining orthogonal throughout [behavior recently reported independently by Liu et al. [Liu et al. Phys. Rev. B 2018, 98, 134416]]. In Sr2CrO2Cr2As2, electron diffraction and high resolution powder X-ray diffraction data show no evidence for a structural distortion that would allow the two Cr2+ sublattices to couple, but high resolution neutron powder diffraction data suggest a small incommensurability between the magnetic structure and the crystal structure, which may account for the coupling of the two sublattices and the observed spin reorientation. The saturation values of the Cr2+ moments in the CrO2 layers (3.34(1) µB (for Sr2CrO2Cr2As2) and 3.30(1) µB (for Ba2CrO2Cr2As2)) are larger than those in the CrAs layers (2.68(1) µB for Sr2CrO2Cr2As2 and 2.298(8) µB for Ba2CrO2Cr2As2) reflecting greater covalency in the arsenide layers.

18.
Environ Monit Assess ; 192(11): 737, 2020 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-33128082

RESUMO

In order to estimate the impact of climate change on the phenological parameters and to compare them with the historical record, a decision support system (DSS) has been applied employing a Phenological Modelling Platform. Biological observations of two willow species (Salix acutifolia and smithiana Willd) in 3 gardens at different altitudes located in Central Italy were utilized to identify suitable phenological models related to four main vegetative phase timings (BBCH11, BBCH91, BBCH 94, BBCH95), and male full flowering (BBCH 65) clearly identifiable in these species. The present investigation identifies the best phenological models for the main phenophases allowing their practical application as real-time monitoring and plant development prediction tools. Sigmoid model revealed high performances in simulating spring vegetative phases, BBCH11 (First leaves unfolded), and BBCH91 (Shoot and foliage growth completed). Salix acutifolia Willd. development appeared to be more related to temperature amount interpreted by phenological models in comparison to Salix smithiana Willd. above all during spring (BBCH11 and 91), probably due to a different grade of phenotypic plasticity between the 2 considered species.


Assuntos
Salix , Altitude , Mudança Climática , Monitoramento Ambiental , Itália , Estações do Ano , Temperatura
19.
Artigo em Inglês | MEDLINE | ID: mdl-32733382

RESUMO

Background: Discrepant thyroid function tests (TFTs) are typical of inappropriate secretion of TSH (IST), a rare entity encompassing TSH-secreting adenomas (TSHoma) and Resistance to Thyroid Hormone (RTHß) due to THRB mutations. The differential diagnosis remains a clinical challenge in most of the cases. The objective of this study was to share our experience with patients presenting with discrepant TFTs outlining the main pitfalls in the differential diagnosis. Methods: medical records of 100 subjects with discrepant TFTs referred to Thyroid Endocrine Centers at the University of Milan were analyzed, retrospectively. Patients were studied by dynamic testing (TRH test, T3-suppression test, or a short course of long-acting somatostatin analog, when appropriate), THRB sequencing, and pituitary imaging. Results: 88 patients were correctly diagnosed as RTHß with (n = 59; 16 men, 43 women) or without THRB variants (n = 6; 2 men, 4 female) or TSHoma (n = 23; 9 men, 14 women). We identified 14 representative subjects with an atypical presentation or who were misdiagnosed. Seven patients, with spurious hyperthyroxinemia due to assays interference were erroneously classified as RTHß (n = 4) or TSHoma (n = 3). Three patients with genuine TSHomas were classified as laboratory artifact (n = 2) or RTHß (n = 1). Two TSHomas presented atypically due to coexistent primary thyroid diseases. In one RTHß a drug-induced thyroid dysfunction was primarily assumed. These patients experienced a mean diagnostic delay of 26 ± 14 months. Analysis of the investigations which can differentiate between TSHoma and RTHß showed highest accuracy for the T3-suppression test (100% specificity with a cut-off of TSH <0.11 µUI/ml). Pituitary MRI was negative in 6/26 TSHomas, while 11/45 RTHß patients had small pituitary lesions, leading to unnecessary surgery in one case. Conclusions: Diagnostic delay and inappropriate treatments still occur in too many cases with discrepant TFTs suggestive of central hyperthyroidism. The insistent pitfalls lead to a significant waste of resources. We propose a revised flow-chart for the differential diagnosis.


Assuntos
Hipertireoidismo/diagnóstico , Mutação , Receptores beta dos Hormônios Tireóideos/genética , Hormônios Tireóideos/metabolismo , Neoplasias da Glândula Tireoide/diagnóstico , Adolescente , Adulto , Idoso , Estudos de Casos e Controles , Diagnóstico Tardio , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Hipertireoidismo/genética , Hipertireoidismo/metabolismo , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Testes de Função Tireóidea , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/metabolismo , Adulto Jovem
20.
Science ; 369(6504): 680-684, 2020 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-32764068

RESUMO

Long-range ordering of magnetic dipoles in bulk materials gives rise to a broad range of magnetic structures, from simple collinear ferromagnets and antiferromagnets, to complex magnetic helicoidal textures stabilized by competing exchange interactions. In contrast, dipolar order in dielectric crystals is typically limited to parallel (ferroelectric) and antiparallel (antiferroelectric) collinear alignments of electric dipoles. Here, we report an observation of incommensurate helical ordering of electric dipoles by light hole doping of the quadruple perovskite BiMn7O12 In analogy with magnetism, the electric dipole helicoidal texture is stabilized by competing instabilities. Specifically, orbital ordering and lone electron pair stereochemical activity compete, giving rise to phase transitions from a nonchiral cubic structure to an incommensurate electric dipole and orbital helix via an intermediate density wave.

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